Organization
UNIVERSITY ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS (ADMINISTRATOR)
(586) 558-1149
Entity
Organization
Contact information
Practice address
28800 RYAN RD, SUITE 120, WARREN, MI 48092-4272
(586) 558-1220
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22218
BCBSM GROUP NUMBER
MI
Enumeration date
03/21/2007
Last updated
08/22/2020
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